ABSTRACT
Background: Intraocular lens (IOL) implantation in the absence of capsular support represents a surgical challenge. Several techniques have been used for IOL implantation in aphakic eyes without adequate capsular support. The aim of this study was to compare the efficiency and visual results of Yamane technique with the glued IOL technique in correction of aphakia without adequate capsular support in Zagazig University Hospitals.
Methods: Forty-Eight Aphakic eyes of 48 patients without adequate capsular support were included in this study. All eyes were planned to be corrected with posterior chamber foldable IOL implantation using either Yamane flanged scleral fixated IOL technique- (Group A)- or glued scleral fixated IOL technique- (Group B), 24 aphakic eyes were enrolled randomly in each group. Pre-operative, intra-operative and post-operative data including uncorrected and best corrected visual acuity, intraocular pressure, and endothelial cell count were recorded. Surgical time, intra-operative difficulties and post-operative complications were recorded. Patients were followed up for 6 months at least.

Results: Forty-eight aphakic eyes without adequate capsular support following complicated phacoemulsification were enrolled randomly in tow groups (A&B). In all cases a three-piece foldable hydrophobic IOLs were used. There is clear statistically significant difference between pre- and post-UCVA (p < 0.001) in both groups. Complications included captured IOL in one case in group A, IOL decentration in 2 cases in group A and 3 cases in group B.
Conclusion: Flanged intrascleral fixation of three-piece IOLs (Yamane technique) and glued scleral fixated IOLs, both are safe efficient methods for correction of aphakia.